Organization Active NPI

Standard Home Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1174197180
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STANDARD HOME CARE, INC.
Practice address
1708 Standard Ave # a
Glendale, CA 91201-2010
Phone
(747) 302-2010
NPI assigned
May 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Narine Khlghatyan
Title
Ceo
Phone
(747) 302-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1708 Standard Ave # a
Glendale, CA 91201-2010

Mailing address

1708 Standard Ave # a
Glendale, CA 91201-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210609000013 CA Part A Provider - Home Health Agency 9638579980 Practice locations: Glendale, CA

Home health agency certification: CCN 753123

Legal name
STANDARD HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 4, 2022
Last certification
May 4, 2022
Organization structure
CorporationProprietary
Incorporated
Mar 25, 2021 in CA
Enrollment address
1708 Standard Ave
Unit a
Glendale, CA 91201-2010

Care Compare: Home health agency

Medicare Care Compare
Listed as
Standard Home Care, Inc.CCN 753123 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
May 4, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1708 Standard Ave
Unit A
Glendale, CA 91201
Phone (747) 302-2010

1708 Standard Ave
#A
Glendale, CA 91201
Phone (747) 302-2010

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Boris Khojoyan Individual 5% Or Greater Indirect Ownership Interest Oct 30, 2022 49%
Corporate OfficerCfo Oct 3, 2022 49%
Corporate DirectorCfo Oct 3, 2022 49%
W-2 Managing EmployeeCfo Oct 3, 2022 49%
Vardan Khojoyan Individual 5% Or Greater Indirect Ownership Interest Oct 3, 2022 51%
Corporate OfficerCeo/Secretary Oct 3, 2022 51%
Corporate DirectorCeo/Secretary Oct 3, 2022 51%
W-2 Managing EmployeeCeo/Secretary Oct 3, 2022 51%
Standard Management Group Organization, Glendale, CA Corporation 5% Or Greater Direct Ownership Interest Mar 25, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1174197180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 STANDARD AVE # A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 STANDARD AVE # A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012010",
            "telephone_number": "747-302-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "KHLGHATYAN",
        "authorized_official_first_name": "NARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-302-2010"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.